A 54-year-old man presents with a temperature of 38.8 °C (101.8 °F), a racing heart, fatigue, and an upset stomach after spending an afternoon building a deck on a very hot, humid day
The physician assessing the man is performing a differential diagnosis as part of her assessment. Which of the following findings would suggest fever rather than hyperthermia as a cause of the elevation in the man's temperature?
A)
Moist skin
B)
Dizziness
C)
Shivering
D)
Cognitive changes
Ans:
C
Feedback:
Shivering is a response to a signal for increased heat production. It would only occur on a hot day if the set point for temperature regulation were increased, as in the case of fever but not hyperthermia. Moist skin, cognitive changes, and dizziness can occur with either fever or hyperthermia.
You might also like to view...
Decreased surfactant production in the preterm lung is a problem because:
a. Surfactant keeps the alveoli open during expiration. b. Surfactant causes increased permeability of the alveoli. c. Surfactant dilates the bronchioles, decreasing airway resistance. d. Surfactant provides transportation for oxygen to enter the blood supply.
A nurse is caring for a client with a temporary pacemaker. The client's bedside monitor shows a spike followed by a QRS complex. What would be the nurse's best action?
A. Turn off the pacemaker. B. Decrease the pacemaker threshold. C. Document the finding as the only action. D. Set the pacemaker to the synchronous mode.
How should the following scenario be evaluated with respect to the goal of encouraging the nursing assistant to be accountable for learning skills?
Nursing assistant: "I do not know how to use the new lifting device to get Mrs. Jackson out of bed. I missed the demonstration the other day." LPN/LVN charge nurse: "I will ask Kay if she has time to get Mrs. Jackson out of bed with the new device while you assist. How can you prepare yourself to use the new device?" Nursing assistant: "I could watch closely when I assist Kay and ask questions. Then, I guess I could watch the videotape that came from the company and practice with a couple of the aides when they have time." LPN/LVN charge nurse: "Good plan. I will plan to observe and evaluate your competency tomorrow afternoon." The scenario should be evaluated as a. a good example of encouraging the nursing assistant to be accountable for learning. b. too pushy on the part of the LPN/LVN charge nurse. c. placing too much responsibility on the nursing assistant. d. placing too much responsibility on the LPN/LVN charge nurse. e. condescending to the nursing assistant.
The nurse prepares to obtain a urine sample from a client's closed drainage system. Place the procedure steps in the correct order.A) Disinfect the needle insertion site.B) Insert the needle at a 30-to 40-degree angle.C) Unclamp the catheter.D) Transfer the urine to the specimen container.E) Withdraw the required amount of urine.F) Clamp the drainage tubing at least 8 cm (3 in.) below the sampling port for 30 minutes.
Fill in the blank(s) with the appropriate word(s).